NPIMap

Organization Active NPI

Miracle Ear- Texas, Inc

  • Audiologist-Hearing Aid Fitter
  • Texarkana, TX
National Provider Identifier
1376742965
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
MIRACLE EAR- TEXAS, INC
Practice address
4522 Summerhill Rd
Texarkana, TX 75503-2740
Phone
(903) 838-3093
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul M D'Amico
Title
Vice President
Phone
(888) 333-9152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

4522 Summerhill Rd
Texarkana, TX 75503-2740

Mailing address

5000 Cheshire LN N
Plymouth, MN 55446-3706
Phone (888) 333-9152

National Provider Directory

National Provider Directory
Tax ID family
Miracle Ear- Texas Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4522 Summerhill Rd
Texarkana, TX 75503
Phone (903) 838-3093

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1376742965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CHESHIRE LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463706",
            "telephone_number": "888-333-9152",
            "fax_number": "763-268-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032740",
            "telephone_number": "903-838-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE EAR- TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "D'AMICO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "888-333-9152"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.